JON S WEISBAUM DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069097

License Status

ACTIVE

Business

First Name

JON S

Last Name

WEISBAUM

Suffix

Business Name

JON S WEISBAUM DO

Original Issue Date

08/03/1984

Effective Date

05/12/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/12/2023